Cabanga nje ukuthi usanda kulala kahle ebusuku bese uzwa umuzwa oshisayo esifubeni sakho. Noma uzizwa sengathi ukudla kuphuma emphinjeni wakho ngokunambitheka okumuncu. Yilokhu abaningi bethu abakubheka njenge-'gastritis', kodwa empeleni kungaba yisimo esibizwa ngokuthi i-Acid Reflux. Nakuba kujwayelekile ukuzizwa ngale ndlela ngezikhathi ezithile, uma kwenzeka njalo, kungaba yisimo sezokwelapha. Ake sixoxe ngalokhu ngendlela elula namuhla.
Kalula nje, yini i-Acid Reflux kanye ne-GERD?
Uma ukudla esikudlayo kungena esiswini sethu, kufanele kwehle kuze kube sezingeni eliphezulu, hhayi futhi. Kodwa ngezinye izikhathi ama-asidi aqatha esiswini sakho aphinde abuyele phezulu, angene emqaleni wakho, angene emphinjeni wakho. Yilokhu esikubiza ngokuthi i-Acid Reflux.
Le asidi iyinto enamandla kakhulu esetshenziselwa ukugaya ukudla. Ngakho-ke uma ifika lapho ingafanele khona, okungukuthi emqaleni, ishisa izicubu ezithambile futhi ibangele umuzwa wokushisa. Yilokhu esikuzwayo njengokushiswa yisisu.
Lokhu akuyona inkinga uma kwenzeka ngezikhathi ezithile. Kodwa kwabanye abantu, kwenzeka njalo, ngaphezu kokuphindwe kabili ngesonto, isikhathi eside. Lesi simo esiqhubekayo se-acid reflux yilokho esikubiza ngokwezokwelapha ngokuthi i-GERD (Isifo Sokugobhoza Kwesisu Esingamahlalakhona). Kalula nje, i-GERD yisifo esiphindaphindayo se-acid reflux. Lokhu kungaba yingozi empilweni futhi kungalimaza umphimbo wakho.
Ziyini izimpawu ze-Acid Reflux kanye ne-GERD?
Kulesi simo, ungase ubhekane nezimpawu ezahlukahlukene. Ake sibheke izimpawu eziyinhloko ongase ubhekane nazo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukubuyela emtholampilo | Umuzwa wokudla, amanzi, noma i-asidi ebuyela emphinjeni ngemuva nje kokudla. Kungase kube nokunambitheka okumuncu emlonyeni. |
| Isilungulela | Umuzwa wokushisa ovela phakathi kwesifuba. Abanye abantu bakubiza nangokuthi lokhu ukugayeka kokudla okune-asidi. |
| Ubuhlungu besifuba obungesona isifo senhliziyo | Abanye abantu bangase babe nobuhlungu besifuba ngaphandle kokuvuvukala. Abanye abantu bayakwesaba lokhu ngoba kufana nobuhlungu bokuhlaselwa yinhliziyo. |
| Isicanucanu kanye ne-anorexia | Ukuvuvukala kwesisu okubangelwa yi-acid reflux kungabangela isicanucanu, umuzwa wokugula, kanye nokulahlekelwa yisifiso sokudla. |
| Ukutheleleka komphimbo | Uma i-asidi ingena emphinjeni, ingabangela umphimbo obuhlungu, ukushaqeka, umuzwa wokuthi kukhona okubhajwe emphinjeni, kanye nobunzima bokugwinya. |
| Izinkinga zokuphefumula ezifana ne-asthma | Ngezinye izikhathi lezi zinhlayiya ze-asidi zingangena emgudwini wokuphefumula futhi zibangele ukukhwehlela okuqhubekayo, ukuphefumula kanzima, kanye nobunzima bokuphefumula. |
Izimo lapho izimpawu zingase zibe zimbi khona
- Uma ulala phansi ukuze ulale ebusuku.
- Ngemva kokudla isidlo esikhulu esinamafutha amaningi kanye ne-chili.
- Uma ugoba phambili.
- Uma ubhema noma uphuza utshwala.
Ingabe izingane ezincane nazo ziyaba ne-GERD?
Yebo. Kuvamile ukuthi izingane zikhafule ubisi. Kodwa kwabanye abantwana, kungaba nzima kakhulu. Lokho kubizwa ngokuthi i-GERD ezinganeni. Izingane ezizalwa ngaphambi kwesikhathi kanye nezingane ezizalwa zinezimo ezithile emqaleni wazo zisengozini enkulu.
Bheka ukuthi ingane yakho inalezi zimpawu:
- Ukukhala njalo nokungahlaliseki ngaphandle kwesizathu.
- Ubunzima bokulala.
- Ukwenqaba ukuphuza ubisi.
- Ukuhlanza njalo.
- Ukuphefumula noma ukuhosha kwezwi lapho uphefumula.
- Umoya omubi.
Kungani sithola i-Acid Reflux?
Kalula nje, kukhona umsipha osebenza njengevalvu phakathi komphimbo wethu nesisu. Lokhu sikubiza ngokuthi i-Lower Esophageal Sphincter (LES) . Kufana nesivalo esisebhodleleni lamanzi. Uma sigwinya, siyavuleka bese sivumela ukudla kudlulele esiswini, bese sivala kahle futhi. Lokhu kuvimbela okuqukethwe yisisu ukuthi kungabuyi phezulu.
I-acid reflux yenzeka lapho i-LES iba buthakathaka noma ikhululeka kakhulu, okuvumela i-asidi yesisu ukuthi ibuye igeleze phezulu. Kunezizathu eziningana zalokhu.
- I-Hiatal Hernia: Lokhu kwenzeka lapho ingxenye engenhla yesisu sakho ingena esifubeni sakho. Lokhu kwenza i-LES ibe buthaka futhi kuvumela i-asidi ukuthi ikhuphuke kalula. Lesi simo siba sivame kakhulu njengoba ukhula.
- Ukukhulelwa: Ngesikhathi sokukhulelwa, i-LES iyaphumula ngenxa yengcindezi evela esiswini esikhulayo kanye nezinguquko zamahomoni. Yingakho omama abaningi beba nesilungulela phakathi nalesi sikhathi. Lokhu kuvame ukuncipha ngemva kokuzalwa komntwana.
- Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ikakhulukazi endaweni yesisu, ingcindezi esiswini iyanda futhi i-LES ingaba buthaka.
- Ukubhema: Amakhemikhali akugwayi ayaphumuza i-LES, kanti ukukhwehlela okubangelwa ukubhema nakho kuyayithinta.
- Ukudla neziphuzo ezithile: Ukudla izinto eziningi kakhulu njengoshokoledi, ikhofi, utshwala, iminti, ugalikhi, kanye no-anyanisi kungaphumuza i-LES. Futhi, ukudla okunamafutha nokuthosiwe kwandisa ingozi yokubuyela emuva ngoba kuhlala esiswini isikhathi eside futhi kwandisa ukukhiqizwa kwe-asidi esiswini.
- Imithi ethile: Imithi ethile, njengaleyo yokucindezeleka kwegazi okuphezulu, ukucindezeleka, kanye nemithi yokunciphisa ubuhlungu (ama-NSAID), ingathinta ne-LES. Khuluma nodokotela wakho ngemithi oyiphuzayo.
Kwenzekani uma i-GERD inganakwa?
Ubuhlungu besifuba obuvamile akuyona into okufanele ithathwe kalula. Ekugcineni, bungabangela izinkinga ezinkulu.
I-asidi yesisu iyinto enamandla kakhulu. Nakuba ulwelwesi lwesisu sakho lungamelana nale asidi, umphimbo wakho awunaso leso sivikelo. Ngakho-ke uma i-asidi iqhubeka ikhuphuka, izinto ezinjengalezi zingenzeka:
- I-Esophagitis: Ukuvuvukala kolwelwesi lomphimbo. Lokhu kungabangela ubuhlungu obuqhubekayo, ubunzima bokugwinya, kanye nezilonda.
- I-Barrett's Esophagus: Ukuchayeka isikhathi eside ku-asidi kubangela izinguquko olwelwesini lwe-esophagus. Lokhu kubhekwa njengesimo esingaphambi komdlavuza esingandisa ingozi yomdlavuza.
- Ukuqina Komqala: Ukulimala okuqhubekayo kungabangela ukwakheka kwezicubu zesilonda emqaleni, okwenza kube nzima ukugwinya ukudla nokuphuza.
- Izinkinga zesistimu yokuphefumula: Uma i-asidi ingena emphinjeni bese ingena endleleni yokuphefumula, ingenza i-asthma ibe yimbi kakhulu noma ibangele izimpawu ezintsha ezifana ne-asthma.
Udokotela wazi kanjani ukuthi lokhu kuyi-GERD?
Ngemva kokulalela izimpawu zakho, udokotela wakho angakuthumela izivivinyo eziningana, uma kudingeka.
- I-Upper Endoscopy: Lokhu kuhilela ukufaka ipayipi elincane elinekhamera emlonyeni wakho bese uhlola ingaphakathi lomphimbo wakho nesisu.
- I-Esophagram (i-Barium Swallow X-ray): Kugwinywa uketshezi olubizwa ngokuthi i-barium bese kusetshenziswa i-X-ray ukuhlola ukuthi luhamba kanjani phansi emhubheni.
- Ukuhlolwa kwe-pH ye-Esophageal: Ukuhlolwa okulinganisa inani le-asidi ngaphakathi komphimbo.
- I-Esophageal Manometry: Ukuhlolwa okulinganisa ukuthi imisipha e-esophagus kanye ne-LES isebenza kahle kangakanani.
Yiziphi izindlela zokwelapha i-GERD?
Kunezindlela eziningana zokuphatha i-GERD. Ukwelashwa kuhluka kusukela ekushintsheni indlela yokuphila, imithi, kanye nokuhlinzwa ngezinye izikhathi.
1. Izinguquko endleleni yokuphila kanye nemikhuba yokudla
Ngokuvamile, lezi zinguquko ezilula zinganikeza impumuzo enkulu:
- Ungadli kakhulu ngesikhathi esisodwa, yidla kancane izikhathi eziningana ngosuku.
- Yidla isidlo sakusihlwa okungenani amahora angu-2-3 ngaphambi kokulala.
- Gwema uwoyela, i-chili, ukudla okunongwe kakhulu, ukudla okuthosiwe, ushokoledi, ikhofi, utshwala kanye nokubhema.
- Uma ukhuluphele ngokweqile, zama ukunciphisa isisindo.
- Ungagqoki izingubo ezikubambezela esiswini.
- Gcina ikhanda lakho liphakeme kancane uma ulele.
2. Imithi (imithi)
Uma izinguquko zendlela yokuphila zodwa zinganele, udokotela wakho angase akunike imithi.
| Uhlobo lwesidakamizwa | Indlela esebenza ngayo |
|---|---|
| Ama-antacid | Zinciphisa ngokushesha i-asidi ye-asidi yesisu. Lezi zilungele ukukhululeka kwesikhashana. |
| Ama-H2 Blockers | Zinciphisa ukukhiqizwa kwe-asidi esiswini. Lezi zisebenza isikhathi eside kune-antacid. |
| Ama-Proton Pump Inhibitors (PPI) | Lena imithi enamandla kakhulu evimba ukukhiqizwa kwe-asidi futhi isize ekwelapheni umonakalo emgudwini womchamo. |
3. Ukuhlinzwa
Uma une-GERD embi kakhulu engenakulawuleka ngemithi kanye nokushintsha indlela yokuphila, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhilela ukuqinisa imisipha ye-LES ebuthaka. I-Nissen Fundoplication iyindlela yokuhlinzwa evame kakhulu.
Yini ongayenza ukuze uthole impumuzo esheshayo uma une-acid reflux?
Uma uzwa ubuhlungu besifuba njengamanje, zama lezi zinto:
- Uma ulele phansi, yima uqonde.
- Phuza amanzi. Ungaphuzi kakhulu, ukuphuza kancane nje kwanele.
- Uma izingubo ozigqokile ziqinile esiswini sakho, zikhulule kancane.
- Uma une-antacid, yithathe.
Into ebaluleke kakhulu ukuthi uma ubhekana nalezi zimpawu njalo, kufanele nakanjani ubonane nodokotela esikhundleni sokuzelapha. Kubaluleke kakhulu ukwazi ukuthi lokhu kuyi-GERD noma esinye isimo sezokwelapha bese ucela ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukushaya kwenhliziyo ngezikhathi ezithile kuyinto evamile, uma kuqhubeka isikhathi esingaphezu kwesibili ngesonto, kungaba yisimo esibizwa ngokuthi i-GERD.
- Izimpawu ze-GERD zingalawulwa kakhulu ngokushintsha indlela yokuphila njengokudla, ukwehlisa isisindo, kanye nokuyeka ukubhema.
- Ungazinaki izimpawu ezifana nobuhlungu besifuba, ukudla okunamathela emphinjeni wakho, kanye nokukhwehlela okuqhubekayo.
- Uma i-GERD ingelashwa kahle, ingabangela umonakalo wesikhathi eside emhubheni.
- Uma uhlangabezana nalezi zimpawu njalo, kubaluleke kakhulu ukubona udokotela ofanelekayo ukuze uthole iseluleko nokwelashwa okufanele, kunokuba uziphathe ngokwakho.
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